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| PLEASE SEE ACCOMPANYING LETTER | | | | | | | | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Yes | ☑ No | | --- | --- | --- | | | | |
b) If yes, please indicate to which Authority your application has been submitted.
| DEFA | ☑ | Douglas Corporation | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| 5. | a) Full name of Agent | RICHARD ORELL ASSOCIATES | | | | | | | | | | | | | | | | | | | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | | b) Address of Agent | KONORODHAO HOUSE, KONORODHAO ROAD | | | | | | | | | | | | | | | | | | | | | | | ANDREAS | | | | | | | | | | | | | | | | | | | | | | | Postcode 1417 3EL | | | | | | | | | | | | | | | | | | | | | | Telephone number | 306475 | | | | | | | | | | | | | | | | | | | | | | Agent's e-mail address | | | | | | | | | | | | | | | | | | | | | | | Please note correspondence is preferred and may be more expeditious via email. | | | | | | | | | | | | | | | | | | | | | | | c) If you are using an Agent, please specify whether the acknowledgement letter and Site Notice should be sent to the Agent or Applicant, who will be responsible for affixing the Site Notice at the site. Please Note: If this box is not completed all correspondence will be directed to the Agent. | | | | | | | | | | | | | | | | | | | | | | | Please ensure that the following information (question 6) corresponds with the details included on the accompanying and compulsory certificate of ownership (Certificate 01). | | | | | | | | | | | | | | | | | | | | | | | 6. Name and Address of: | | | | | | | | | | | | | | | | | | | | | | | a) the site owner, if different from the applicant. Please state all names, including first names in full. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | b) The name of occupier or tenant of the site if different from above. | | | | | | | | | | | | | | | | | | | | | | | c) Does the applicant own or control any additional land within the vicinity of the application. If yes, you must outline the additional land in blue on the site plan. | | | | | | | | | | | | | | | | | | | | | | | 7. Applicant's interest in the site (e.g. owner, tenant, potential purchaser) | | | | | | | | | | | | | | | | | | | | | | | 8. Relevant Fee Enclosed (where required) Please note the application will remain invalid until the application fee is paid in full. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | If the proposed development would create additional industrial, residential, retail or office floor space, please specify the floor area in square metres. This area should be used to where the fee calculus requires it. | | | | | | | | | | | | | | | | | | | | | | | Where the application is exempt from a fee under the current fees order, please state the registered charity number. | | | | | | | | | | | | | | | | | | | | | | | 9. a) Please state the existing use of the site (e.g. residential, office, retail etc.) | | | | | | | | | | | | | | | | | | | | | | | b) Please state the proposed use of the site. | | | | | | | | | | | | | | | | | | | | | | | 10. a) Development within a Conservation Area. If yes, please include details of any demolition involved on a separate sheet. | | | | | | | | | | | | | | | | | | | | | | | b) Works proposed to a Registered Building. If yes, please quote the R8 number and complete an application for Registered Building Consent to accompany this form (Form R94P). | | | | | | | | | | | | | | | | | | | | | | | 11. Are the activities Retrospective or as a result of an Enforcement Enquiry? If as a result of an enforcement enquiry please quote reference and the date that the building work or use was started/completed. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Town and Country Planning Act 1999 Town and Country Planning (Development Procedure) (No 2) Order 2013
This certificate provides confirmation that the owner of the land which is the subject matter of the application is either the applicant or is fully aware of the application.
The certificate constitutes a statement of ownership and is not proof of ownership.
The applicant is requested to complete either Statement A or Statement B and return the completed certificate along with the planning application form and any supporting documents.
NO APPLICATION WILL BE PROCESSED UNTIL SUCH TIME AS THE CERTIFICATE IS SUBMITTED.
I certify that the accompanying application is made by or on behalf of the owner of the land, namely:
MR. THOMAS MURAWKA AND MRS KAROLINA LATOWSKA.
(Full names in CAPITAL letters)
who is:
(a) the full* /limited* owner of the freehold* /leasehold* estate in the land (*delete as appropriate); and
(b) in full possession of every part of the land to which the application relates.
If the application is made on behalf of the land owner, a certified copy of the power of authority signed by the owner authorising the application on his behalf is attached hereto.
I certify that appropriate written notice of the accompanying application has been given by or on behalf of the applicant to:
(a) the land owner (referred to in statement A of this certificate); and
(b) to any person who at the time of the making of the application was:
(i) a person then in actual possession
(ii) the trustee of a trust or settlement if a beneficiary under the trust or settlement was in actual possession and no person other than such a beneficiary was entitled to enter into actual possession within a period of 40 years; and
(iii) a person, not being a person falling within (a) or (b) (i) and (ii), entitled to enter into actual possession within a period of 40 years.
The persons upon whom notice was issued are:
Name & Address
Interest
Date notified
Name & Address
Interest
Date notified
Name & Address
Interest
Date notified
Signature Applicant/Agent
Date
17.10.17
Planning and Building Control Directorate, Department of Environment, Food and Agriculture Murray House, Mount Havelock, Douglas, Isle of Man, IM1 2SF Tel: +44 1624 685950 Fax: +44 1624 686443 Email: [email protected]
Putting the Customer First
Certificate O1(i)
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